Provider Resources

Provider Manual

Download the 2021 Provider Manual

 

External Resources

Community Support

Community Support is here to help members and providers find free or low cost services like medical care, access to food, transportation, housing, and more where members live. 

What is Community Support?

  • Helps members and providers find social service providers close to home.
  • Filters nationwide based on geographical data and zip code.
  • Includes at least 600 free and reduced cost programs.

Access Community Support

 

Prior Authorization with eviCore

Highmark Health Options requires prior authorization from eviCore for the Medicaid membership delegated for cardiology and radiology services. Visit eviCore.

 

Visit the Provider Resource Center for Highmark Blue Cross Blue Shield of Delaware.

Provider Contracts

Procedure Codes

Standard Rates for medical specialty drugs and injections are reimbursed at the Average Sale Price (“ASP”) minus 6%. Please note that these rates are updated in May and November of each year.